MEDICARE: ALBERT A SAMADI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	211535	NY
2	208800000X	Urology Physician	A96238	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619952637
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALBERT A SAMADI MD

Provider Business Mailing Address
First Line	:	PO BOX 9602
Second Line	:
City	:	MISSION HILLS
State	:	CA
Zip	:	91346-9602
Country	:	US
Telephone Number	:	818-837-5637
Fax Number	:	818-837-5589

Provider Business Practice Location Address
First Line	:	23929 MCBEAN PKWY
Second Line	:	SUITE #200
City	:	VALENCIA
State	:	CA
Zip	:	91355-4466
Country	:	US
Telephone Number	:	661-290-5320
Fax Number	:	661-290-5321

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2005
Last Update Date	:	10/15/2012

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Directions to “ ALBERT A SAMADI MD” Practice Location

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